tailgate

Online Registration Form
First Name   Last Name 
Company 
Address 1   Address 2 
City   State   Zip 
E-mail   Phone # 
Fax # 
Use same information for billing
Sponsorships
Tailgate Sponsor                $ 5,000  - includes 10 tickets! 
Contest Sponsor$ 2,000  
Touchdown Sponsor $ 1,000  
Player Sponsor $ 1,000  
Safety Sponsor $ 750  
Extra Point Sponsor $  500  
First Down Sponsor $ 300  
Tickets
Reserve  (#) of Regular Tickets at $125 each.  (Includes all you can eat tailgate, beer, wine & dessert.)
Contributions
I regret that I cannot attend, but I would like to make a contribution of $ to
support the Trinitas Health Foundation. My contribution is 100% tax-deductible.
 
Raffle Donations
I can contribute an item(s) for the raffle \ auction : (item description)
For more information, call (908) 994-8249 or e-mail Kim Boyer at kboyer@trinitas.org.
     Email Us 225 Williamson St., Elizabeth, NJ 07202  908-994-5000  Site Index
    Home   About Us   Contact Us   Find Us   Centers of Excellence   Departments & Services   News & Info